Ralph Frederick Jerome, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2974 Issued in OK

Practice address

112 Evans Avenue
Mannford, OK 74044

Phone

(918) 865-7020

Fax

(918) 865-7039

NPI assigned

Mar 19, 2007

Last updated

Oct 15, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Results Therapy Services LLC

  dba Results Physical Therapy

  • Physical Therapy Clinic/Center
  • Mannford, OK
  • NPI 1992033708

  Physical Therapist

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1992829360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 361",
            "city": "MANNFORD",
            "state": "OK",
            "postal_code": "740440361",
            "telephone_number": "918-865-7020",
            "fax_number": "918-865-7039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 EVANS AVENUE",
            "city": "MANNFORD",
            "state": "OK",
            "postal_code": "74044",
            "telephone_number": "918-865-7020",
            "fax_number": "918-865-7039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEROME",
        "first_name": "RALPH",
        "middle_name": "FREDERICK",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2021-10-15",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "2974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Elizabeth Garner, PT
• Ronald Gerald Glass, D.D.S.
• Timber Kay Hammond, PTA
• Sarah Higgins, P.T.
• Tiffany Ann Isaacs
• Ruth Johnson, PA
• Christopher Adam Landy
• Legacy Health and Wellness, LLC.
• Angela Mackey
• Jessie G Mackey, CCC-SLP

• Physical Therapist in Mannford, OK
• Providers in Mannford, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.